To hold a Semi Tendonosus ST (soft tissue) graft in place in the femoral tunnel during the healing period following ACL reconstrution surgery.
Device Story
Mitek 3.3mm ST Cross Pin is a fixation device for ACL reconstruction; holds semi-tendinosus soft tissue graft in femoral bone tunnel during healing. Device is 1.654" long, 0.132" diameter with conical tip. Implanted via Mitek ACL guide system; pin passes through graft within bone tunnel into opposite femoral bone tunnel wall. Used in surgical setting by orthopedic surgeons. Provides mechanical fixation to maintain graft position during post-operative healing. Benefits patient by securing graft to facilitate successful ACL reconstruction.
Clinical Evidence
No clinical tests were done. Evidence consists of bench fixation strength tests (bending and shear) and in-vitro evaluation of cross pin orientation effects on hamstring graft strength.
Technological Characteristics
Material: Purac PLA. Dimensions: 1.654" length, 0.132" diameter, 0.180" conical tip. Mechanical fixation device. No software or energy source.
Indications for Use
Indicated for femoral fixation of autograft or allograft ACL soft tissue grafts in patients undergoing ACL reconstructive surgery.
Regulatory Classification
Identification
A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.
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Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image shows the logo for Mitek Products. The word "mitek" is in bold, black letters, with a registered trademark symbol next to the "k". Below the word "mitek" is the word "PRODUCTS" in smaller, black letters. The logo is simple and easy to read.
K974341
ETHICON,INC.
a Johnson Johnson company
PHONE (781) 251-2700 • TOLL-FREE (800) 356-4835 • FAX (781) 461-9166
APR 1 6 1998
## 510k SUMMARY FOR K974341
Page 1 of 2
# SUBMITTER
NAME ADDRESS Tel No. CONTACT DATE
Mitek Products 60 Glacier Drive, Westwood, MA 02090 781-251-2700 Robert Zoletti, Manager, Regulatory Affairs October 20, 1997
## NAME OF DEVICE
CLASSIFICATION NAME COMMON NAME PROPRIETARY NAME
Staple, fixation, bone and soft tissue A device for holding soft tissue in apposition Mitek 3.3mm ST Cross Pin
#### PREDICATE DEVICE
Acufex EndoButton (K) 933948
# DESCRIPTIION OF DEVICE
FUNCTION
Hold a Semi Tendonosus soft tissue graft in position during healing in the femoral bone tunnel.
#### DEVICE DESIGN
The Cross Pin is 1.654 " long by 0.132" dia. with a conical tip by 0.180" long.
#### MATERIALS USED
The Cross Pin is molded from Purac PLA
## INTENDED USE
To hold a Semi Tendonosus ST (soft tissue) graft in place in the femoral tunnel during the healing period following ACL reconstrution surgery.
# COMPARISON TO PREDICATE DEVICE
The PLA 3.3mm ST Cross Pin compares to the Acufex EndoButton in that the indication for use is the same and the function of the device(s) are similar. They hold a soft tissue graft in position in the femoral tunnel during the healing process after ACL reconstructive surgery. The Cross Pin holds the device by having passed through the graft within the bone tunnel, facilitated by use of the Mitek ACL guide system, and into the opposite bone tunnel wall of the femur. The EndoButton holds the soft tissue graft in place with suture/tape which is then anchored over the EndoButton which is placed onto the anterior lateral femoral cortex.
## DESCRIPTION OF NON CLINICAL TESTS
Bench fixation strength tests, bending and shear, were done comparing the Acufex EndoButton and the Mitek 3.3mm ST Cross Pins. These tests showed statistical equivalence between the two devices, in both strength and in stiffness. Also, In-Vitro evaluation tests were conducted to show the effect of cross pin orientation on the ultimate strength of the hamstring grafts in ACL reconstruction.
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DESCRIPTION OF CLINICAL TESTS No clinical tests were done.
# CONCLUSIONS FROM TESTS
The bench test data and the overall graft delivery and bone tunnel preparation work show that the devices are applied in a similar manner and perform equally.
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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or a stylized human profile, composed of three curved lines.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
APR 1 6 1998
Mr. Edward F. Kent · Vice President, Regulatory Affairs Mitek® Products 60 Glacier Drive Westwood, Massachusetts 02090
Re: K974341 Trade Name: 3.3mm ST Cross Pin Regulatory Class: II Product Codes: HTY and MAI Dated: February 25, 1998 Received: February 27, 1998
Dear Mr. Kent:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations. Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
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Page 2 - Mr. Edward F. Kent
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597, or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".
Sincerely yours.
2. Stephen Plurchie
Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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of_f -Page
510(k) Number (if known): _ K974341
Device Name: Mitek 3.3mm (ST) Cross Pin
Indications For Use:
- 1
Femoral fixation of autograft or allograft ACL soft tissue grafts
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Stiphan Edwards
(Division Sigh-Off) Division of General Restorative Devices K974341 510(k) Number _
Prescription Use_X (Per 21 CFR 801.109) OR
Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________
(Optional Format 1-2-96)
Panel 1
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